Permit rk
4' CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2004 -00288
jlII DEVELOPMENT SERVICES DATE ISSUED: 11/2/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 12975 SW OXALIS TERR PARCEL: 2S104BC -08100
SUBDIVISION: HILLSHIRE CREST ZONING: R -
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: New SF.
BUILDING
REISSUE: MST22122E STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.842 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.028 sf GARAGE: 607 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THR sf RIGHT: 5
VALUE: 280
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,870 sf REAR: 15
����vr///// PLUMBING
SINKS: / r WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: f VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCrFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v. MINOR LABEL:
1000+ amp/volt :
PLAN REVIE W SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,189.48
RIDGECREST This permit is subject to the regulations contained in the
IDGECREST CONSTRUCTION CO INC RIDGECREST CONSTRUCTION CO
6600 SW 92ND AVE SUITE 100 6600 SW 92ND AVE SUITE 100 Tigard Municipal Code, State A l work k will done and all Other applicable ed laws. Al. work permit mi done in
PORTLAND, OR 97223 PORTLAND, OR 97223
accordance with approved plans. This permit will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 246 - 8808 Phone: 503 246 - 8808 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #' LIC 59228 rules are set forth in OAR 952 - 001 -0010 through
952 -001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Post/Be ruc I Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
- / Issue By : _ l / / /1_ .. // Permittee Signature : Be
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busines • y
Building Permit Appl} r I U n Received FOR OFFICE USE ONLY
City of Tigard H V Date/By: Q �0 �7 �/ I �f Perm it No.:� � ,y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review `` %�/ / \A51 ('7�(/
Phone: 503.639.4171 Fax: 503.598.1960 tt I Other Permit: o •
Inspection Line: 503.639.4175 S E P 3 O 1U r ; a 1,l F I II Dace ReadyBy v U � 1- tug I See Checklist for
CITY OF 71GAR Notified/Method: ' �r Supplemental Information
Internet: www.ci.tigard.or.us
RurtD N n�'`15 °
• TYPE OF �bltK ION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
14,1 --and 2- family dwelling El Commercial/industrial Valuation: $
• - - ❑ Accessory building El Multi-family Number of bedrooms: 4
❑ Master builder ❑ Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 12975 SW Oxalis Terr. New dwelling area: 2870 square feet
City /State/ZIP: Tigard Or. 97223 Garage /carport area: 571 square feet
Suite/bldg. /apt. no.: Project name: Hillshire Crest Covered porch area: 33 square feet
Cross street/directions to job site: SW Ascension & Oxalis Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Hillshire Crest Lot no.: 3 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 25104 BC 8100 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ •
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Ridgecrest Construction Co. Inc. Type of construction:
Address: 6600 SW 92 " Ave Suite 100 Occupancy groups:
City/State /ZIP: Portland Or 97223 Existing:
Phone: (503)246 -8808 Fax: (503)246 -3682 New:
❑ APPLICANT ® CONTACT PERSON
NOTICE
Business name: Ridgcrest Homes All contractors and subcontractors are required to be
Contact name: Dale Tucker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6600 SW 92 " Ave jurisdiction in which work is being performed. If the
City/State /ZIP: Portland OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 246 -8808 Fax: : (503) 246 -3682
E -mail: DaleT @RidgcrestHms.com
CONTRACTOR
Business name: Ridgecrest Construction Co. Inc BUILDING PERMIT FEES*
Address: 6600 SW 92 " Ave Suite 100
Please refer to fee schedule
City/State/ZIP: Portland Or 97223 Fees due upon application
Phone: (503) 246 -8808 I Fax: (503) 246 -3682
Amount received
CCB lic.: 59228
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Karl Hoffses Date: 917_0/ • , Fee methodology set by 'Fri-County Building Industry
Service Board.
i:\ BuildingTermits\BUP- PermitApp. 12/03 440 -4613T(I 1 /02/COM/WEB)
,,4►
Mechanical Permit Application FOR OFFICE USE ONLY
CI}yRuf Tigard EC E I V E Rece /�
ived _ 7 0.7/ pit No.: \& y,'
13125 SW Hall Blvd., Tigard, OR 972 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / r two,1 Date/By: Other Permit:
Inspection Line: 503.639.4175 4- 6� Date Ready/By: y: luris: See Page 2 for
Internet: www.ci.tigard.or.us SEP 3 0 20 i - Notified/Method: Supplemental Information
CITY OF TIGARD
1501113MINVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction Mechanical permit fees* are based on the value of the work
❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® 1 -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi - family ❑Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12975 SW Oxalis Tern Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: Tigard Or 97223 • Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Hillshire Crest Gas heat pump 14.00
Cross street/directions to job site: SW Ascension & Oxalis Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
•
Subdivision: Hillshire Crest Lot no.: 3 Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: 25104 BC 8100 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: Ridgecrest Construction Co. Inc. Environmental exhaust and ventilation
Address: 6600 Sw 92 Ave Suite 100 Range hood/other kitchen
equipment 10.00
City/State /ZIP: Portland Or 97223 Clothes dryer exhaust 10.00
Fax: 503 246 -3682
Single-duct compartments, rtm ents (bathrooms,
Phone:
(503)246-8808 ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Ridgecrest Construction Co. Inc. Fuel piping
Contact name: $5.40 for first four; $1.00 for each a dditional
Address: 6600 Sw 92nd Ave Suite 100 Furnace, etc.
Gas heat pump
City /State /ZIP: Portland Or 97223 WalUsuspended/unit heater
Phone: (503) 246 -8808 Fax: : (503) 246 -3682 Water heater
Fireplace
E -mail: DaleT @Ridgecrest Homes Range
CONTRACTOR Barbecue
Business name: Supreme Comfort Clothes dryer (gas)
Other:
Address: 9425 SW Comercial Circle #16 MECHANICAL PERMIT FEES*
City/State /ZIP: Wilsonville Or. 97070 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 682 -1985 Fax: (503) 682 -1018
Plan review (25% of permit fee)
CCB lic.: 21892 �I State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Karl Ho es Date: yr v- a7 • Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Permits\MEC- PermitApp.doc 12/03 440- 4617T(I1 /02/COM/WEB)
I
1.-" » kZctrical Permit Application FoR OFFICI USE ONLY
C 1t3' of Tigard E C E I V E ' Received 7' A „ / /�Y permit No..'
13125 SW Hall Blvd., Tigard, OR 97 3 Plan Review ; /`✓`/ / � y ' �,
7
. Phone: 503.639.4171 Fax: 503.598.1960 4nm4 i '� ` Date/By: Other Permit:
Inspection 03.6
Line: 503.639.4175 SEP 3 0 201- I Date Ready/By: Juris: El See Page 2 for
Internet: Line: .or.us Notified/Method: Supplemental Information
�� � T4 o `�AVC M � IR j �� ARD PLAN REVIEW
® Ncw construction ❑ �[d85I�1f/SAt t56til5lent Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
❑Health -care facility ['Other:
Job no.: Job site address: 12975 SW Oxalis Terr. Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard Or 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: Hillshire Crest FEE* SCHEDULE
Description I Qty. I Fee. I Total I
Cross street/directions to job site: SW Ascension & SW Oxalis New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Hillshire Crest Lot no.: 3 Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: 25104 BC 8100 Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER El TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Ridgecrest Construction Co. Inc 601 amps to 1,000 amps 240.60 2
Address: 6600 SW 92" Ave Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Portland Or 97223 Temporary services or feeders installation, alteration, and /or
Phone: (503)246 -8808 Fax: (503)246 -3682 relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
❑ APPLICANT C.1 CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Ridgecrest Construction Co. Inc branch circuit
B. Fee for branch circuits
Contact name: Dale Tucker without service or feeder fee, 46.85 2
Address: 6600 SW 92nd Ave each branch circuit
Each add'I branch circuit 6.65 2
City/State /ZIP: Portland Or 97223 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503) 246 -8808 Fax: : (503) 246-3682
Sign or outline lighting 53.40 2
E -mail: DaleT @RidgecrestHms.com Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Light House Electric
Address: 27501 SW 95 Suite 960 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Wilsonville Or 97070 Investigation per hour (I hr min) 62.50
Phone: (503) 582 -9600 Fax: (503) 582 -8484 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 154897 Electrical Lic.: 3 -562c Su . Lic.: Z7g3 C Subtotal
Suprv. Electrician signature, required: t ,�/ •J Plan review (25% of permit TOTAL PERMIT FEE fee)
�� State surcharge (8% of permit fee)
-'/
Print name: �' " nature: !/ ' ' � _ . a Date: dr_ 6.-0
�.
Authorized signature: //,/ • This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: !dam A.V,‘ Date: 9 • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\Building\Permits\ELC- PermilApp.doc 12/03 440 -4615T(10 /02/COM/WEB
Plumbing Permit A
y I� VE D Receive � d t�
City of Tigard Date/By: i�ady Permit No.S��O'� �J y
�
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review °C'0
Phone: 503.639.4171 Fax: 503.598.1960 EP 3 0 2004 ��"`r '� Other Permit No.:
J tij,i Date/By:
24 Hour Inspection Line: 503.639.4175 ■ LJP a` Date Ready/By: Au':: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TICARD Notified/Method: Supplemental Information
1 11 11011.1' IVISIQN FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
ID Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 12975 SW Oxalis Terr. Catch basin or area drain 16.60
City /State /ZIP: Tigard Or 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Hillshire Crest Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW Ascension & SW Oxilas
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Subdivision: Hillshire Crest I Lot no.: 3 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 25104 BC 8100
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Ridgecrest Construction Co. Inc Expansion tank 16.60
Address: 6600 SW 92 Ave Suite 100 Fixture /sewer cap 16.60
City /State /ZIP: Portland Or 97223 Floor drain/floor sink/hub 16.60
Phone: (503)246 -8808 Fax: (503)246 -3682 Garbage disposal 16.60
® APPLICANT El CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Ridgecrest Construction Co. Inc Interceptor /grease trap 16.60
Contact name: Dale Tucker Medical gas (value: $ ) Page 2
Address: 6600 SW 92nd Ave Suite 100 Primer 16.60
City /State /ZIP: Portland Or 97223 Roof drain (commercial) 16.60
Phone: (503) 246 -8808 Fax: : (503) 246 -3682 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: DaleT @RidgecrestHms.com Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Craftwork Plumbing Water heater 16.60
Address: 7742 SW Nimbus Ave Other:
City /State /ZIP: Beaverton Or 97008 Subtotal
Minimum permit fee: $72.50
Phone: (503) 644 -8698 Fax: (503) 644 -5989 Residential backflow minimum permit fee: $36.25
CCB Lic.: 79666 lumbin ic. no.: 20 -148PB Plan review (25% of permit fee)
Authorized signature: fl G State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: Peter Pollard Date: c7-30'Oci This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
i:\Building\Permits'PLM- PermitApp.doc 12/03 440-4616T(10/02/COM/WEB)
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CITY OF TIGARD 1 24 -Hour ■
BUILDING Inspection Line: (503) 639 -4175 MST .Do" eoaF
INSPECTION DIVISION Business Line: (503) 639 -4171
// BUP
Received Date Requested //– S' AM PM BUP
Location /0 LJ cl c>) A4 Suite MEC
Contact Person f l –L — Ph ( ) av y 7 PS PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: c ELR
ID :t.
Slab Inspection Notes: SIT
Post & Bea
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /
Other: L__, ► I c
PAS PART FAIL
BIN
Post & Beam
Under Slab
Rough -In
Water Service
:wer
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fina
AS PART FAIL
CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA / �/
Approach/Sidewalk Date /( p Inspector ,' "� Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour p�
BUILDING Inspection Line: (503) 639 -4175 MST A 06 171 c ?
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date R I I Z3 AM PM j/_ BUP
Location / o R 7.5 v)C c 7Z &4/r Suite. MEC
Contact Person Ph ( ) - 5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBIN
'hos & B nj
er Slab
Rough -In y � 5
Water Service
Sanitary Sewer .
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F
AS PART FAIL
HANICAL •
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: Ej Unable to inspect — no access
Fire Supply Line 1/ r � // 2 ,
ADA � F"
Approach/Sidewalk Date / I nspector Ext
Other:
l
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD \- 24 -Hour �J
BUILDING _ Inspection Line: (503) 639 -4175 MST GU. 8'
INSPECTION DIVISION Business Line: (503) 639 -4171
r� BUP
Received Date Requested d AM PM BUP
Location r ;•q7S C/K6. -co 7 Suite MEC
Contact Person Ph ( )o�- 2 � l ' PLM
Contractor Ph ( ) I R3 SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �{ 1
Approach/Sidewalk Date 21 U b Inspector CO ALA- -- LLt d Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD
I BUILDING DIVISION PERMIT #: MST2004 -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2004
Phone: (503) 639 -4171 ia Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 61
SITE ADDRESS: 12975 SW OXALIS TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE CREST LOT #: 003 TYPE OF USE:
PROJECT NAME: HILLSHIRE CREST
DESCRIPTION: New SF. 12 -9-04: added A/C.
OWNER: RIDGECREST CONSTRUCTION CO INC, PHONE #: 503 - 246 -8808
CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 - 246-8808
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007485 -02 503-209-7859 N
Corrections /Comments /Instructions:
OS /Oi.f
s - r j - "7 --- -- o i 411 1%
r
(..26_ rd "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL a C? FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector: Date: 37-2 0 `-' Phone #: (503) 718 -
p _ c�
CITY OF TIGARD cw
BUILDING DIVISION � ' PERMIT #: MST2004-00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2004
Phone: (503) 639 -4171
Att if�g�b::l I . i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 56
SITE ADDRESS: 12975 SW OXALIS TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE CREST LOT #: 003 TYPE OF USE:
PROJECT NAME: HILLSHIRE CREST
DESCRIPTION: New SF. 12-9-04: added NC.
OWNER: RIDGECREST CONSTRUCTION CO INC, PHONE #: 503 - 24648808
CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503-246-8808
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 007310.03 503-209-7859 N
Corrections/Comments/Instructions:
T� b k SL.,...../ "a . A°( rtl -+ / /6" a v.,&
•
[ g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: iTh k.— Date: 1/9l0=5 Phone #: (503) 718-
A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2004
Phone: (503) 639 -4171 A .yalig21I1
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `-_-.
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 62
SITE ADDRESS: 12975 SW OXALIS TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE CREST LOT #: 003 TYPE OF USE:
PROJECT NAME: HILLSHIRE CREST
DESCRIPTION: New SF. 12 -9-04: added NC.
OWNER: RIDGECREST CONSTRUCTION CO INC, PHONE #: 503-246-8808
CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 - 246
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007485 -01 503-209 -7859 N
Corrections/Comments/Instructions:
0 PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S--Z5 � 3 Phone #: (503) 718-
_
CITY OF TIGARD ,,
BUILDING DIVISION PERMIT #: MST2004 -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2004
Phone: (503) 639 -4171 �amrur��; h40' 1 r,
Inspection Requests (24 Hrs.): (503) 639 -4175 4- ` 'i —
INSPECTION WORKSHEET FOR DATE: 6/19/2005 TIME: 7 :12AM PAGE: 58
SITE ADDRESS: 12975 SW OXALIS TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE CREST LOT #: 003 TYPE OF USE:
PROJECT NAME: HILLSHIRE CREST
DESCRIPTION: New SF. 12 -9-04: added NC.
•
OWNER: RIDGECREST CONSTRUCTION CO INC, PHONE #: 503 -246 -8808
CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503246 -8808
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 007310 -01 503 -209 -7859 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector: /I 1 Date: J /7 Phone #: (503) 718-
CITY OF TIGARD r s
BUILDING DIVISION J PERMIT #: MST2004 -00288
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2004
Phone: (503) 639 - 41717/ # 4r ' i(��� �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/200 TIME: 7:12AM PAGE: 57
SITE ADDRESS: 12975 SW OXALIS TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE CREST LOT #: 003 TYPE OF USE:
PROJECT NAME: HILLSHIRE CREST
DESCRIPTION: New SF. 12-9-04: added NC.
OWNER: RIDGECREST CONSTRUCTION CO INC, PHONE #: 503-246-8808
CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503 -246 -6808
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007310-02 503 - 209-7859 N
\C o, rrections /Comments /Instructions:
V -.
Ig PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i Q
Inspector: (�-^' ?c Date:S 11 ''5 Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour
BUILDING II Inspection Line: (503) 639 -4175 MST DO 1-00-1
INSPECTION DIVISION Business Line: (503) 639 - 4171 1p
BUP
Received ! Date Requested ; — I AM PM BUP
Location Suite MEC
Contact Person /,r� Ph ( ) -7 ?"S7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain C ( � ELR
Crawl Drain V
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation L.s
Drywall Nailing ( �
Firewall VsYN 5� 1� L \� Dx �� V� 5 - Vv I� ���1`�
Fire Sprinkler \
Fire Alarm
R Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab _ n1
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole O 1 V (
Storm Drain ` �� �� ( v ' V C �'�
Shower Pan
Other:
Final
PASS PART FAIL
MECHA •
P os am
Ro
Smoke Dampers
Final
A S PART FAIL
ELECTRICAL
g=
Ue► ab
• ow 'o ta.
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 �( V S Inspector at i /4 A yam. Ext
Other:
Final DO NOT REMOVE this Inspection record from the J b site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639- 4175c)-#3°
INSPECTION DIVISION - Business Line: (503) 639 -4171
• BUP
Received
� n
Received / ° ! //0 `'� Date Requested V PM BUP
Location / COO is Suite MEC
Contact Person �'z -Ph ( ) 209 PLM
Contract Ph ( ) SWR
BOLDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
of f,
Int Sheath/Shear� n _ (^ z � C,� C �� • �G'�
Drywall "� [ --P ^ M -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling \ Roof S ; Other: l
P PART FAIL
PL = ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
22
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST .6.6 6 d ,, S'a d
INSPECTION DIVISION Business Line: (, .) 639 -4171
BUP
Received Date Requested AM PM BUP
Location 40 ■ / Suite MEC
Contact Person Ph ) �d 5 7 J 7 8S? PLM
Contractor P ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
In Sheath/Shear J �/ p �� r
� �f 1•162 A
Insulation
Drywall Nailing T� Nl L d �'� S �7� ° c �C�Zr�� 'aV�[1
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Ro
Othe r q
Fi
1 • 1 1: PART FAIL
• • BING M C/�/ �� C S )J / �� 8e V' S
Post & Beam
Under Slab
Rough -In
Water Service •
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
. - ou• - ii.
Gas Line
Smoke Dampers
•
F .
PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before ne • spection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
. SITE ❑ Please call for reinspection RE Unable to inspect — no access
Fire Supply Line / r ..
ADA
Approach/Sidewalk Date - 1 ST- D Inspector �: Ext
Other:
Final DO NOT REMOVE this Inspection record fro , e job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: 03) 639 -4175 MST ae0 Y--a0 oZ S'1S
INSPECTION DIVISION Business Line: ; '503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location _ • F Suite �y MEC
Contact Person -�-�' r• h( ) g 5 ' 7 F S I PLM
Contractor _ Ph ( ) SWR
BUILDING Te ant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear r
q aming e Sheath/Sv 5
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth - •
'PASS PART FAIL
= ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA �j�
Approach/Sidewalk Date `� � Inspector Ext
Other:
Final DO NOT REMOVE this inspection record fro the Job site.
PASS PART FAIL
CITY OF TIGARD - 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2,06 ---
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested 1' ° 7 AM PM BUP
Location I -9 i 3 — 77 Suite MEC
fr
Contact Person �./4 , Ph ( ) AC) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
xt Sheath/Shear
Int Shea ear
Framing 1-1-05
Insulation
Drywall ar
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
F'
6 PAS ._ PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date l — 7�' S Inspector 7 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour // ,�,��,,
Line: (503) 639 -4175 MST 4 a v
BUILDING Inspection ( ) d Z
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Requested // AM 2---1 BUP
Location _ - ' • -.A Suite MEC
Contact Person / __t �'9 Ph ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
mos &BA��
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
ASS ART FAIL
P UMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MEC NICAL
ost &
Rough -In
Gas Line
Smoke Dampers
Final
PAS ART FAIL
ICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /I 2- 4- - 6 4 - - Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (13) 175
INSPECTION DIVISION Business Line: 03 : - 4171 MST -011 �rl>d�
BUP
Received l(/ -3 Date Requested //r / Z_ AM to 5-2- BUP
Location /2_4'7 5 4/"../ D AA g Suite MEC
Contact Person 2/ Ph ( 03) a7 7/31 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
ELC
i 1
ounda io. 9 Access:
g ' rain ELR
Crawl Drain
Slab Inspection Notes: $J— t .) 1 /° c \I SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear viAt A n _ [ -4— '�� Framing C��-N `" ��✓
Insulation l v\
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin-,
• PART FAIL
ING
P. - ; Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line - A �
ADA D ' VI 2 / d 1 Ins Inspector v —. Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL